| Name: |
|
| Street
Address: |
|
| City,
State ZIPCODE: |
|
| Email
Address: |
|
| Phone
Number: |
|
| Fax Number: |
|
| Are you
a John Deere collector? |
Youbetcha! Not me, but I know someone who is! |
How
long have you
been collecting? |
less than 1 year 1 to 3 years
3 to 5 years
5 to 10 years
10-20 years
Forever &
a day |
Please
check all the
types of items in
your collection: |
Promotional Items (fobs,
pens, pins, belt buckles, matches, etc.)
Ephemera
(literature, advertising, paper documents, books,
etc.)
Toys (diecast scale models, pedal tractors, etc.)
Antique Iron
(wrenches, tools, toolboxes, planter lids, seats,
packaging, etc.)
Miscellaneous
Artifacts (dealer, employee, factory, Moline
area, anniversary, Deere Day, family items, etc.) |
What's
your favorite part of
the Bleeding Green website? |
|
|
Share your thoughts...
what else you would like
to see on this site?
All ideas are welcome!
|
|
How did
you hear
about the book
and/or the
Bleeding Green website? |
[Use Shift/Option/Control click for multiples... ]
|
| If Other,
how? |
|
| Is this
book for |
yourself or a gift? |
If a GIFT,
please provide
the lucky person's name: |
|
Want to
have a personalized
note written inside the book? |
YES NO |
If YES,
please provide
a few notes about the
person or their collection: |
|
How
many copies
would you like? |
ONE TWO THREE
FOUR MORE |
How
would you like to
pay for your order? |
CREDIT
CARD (please submit your order first & then click the PayPal
button below to process payment)
PERSONAL
CHECK*
MONEY ORDER*
*Made to Brenda Kruse & mailed to
404 Primrose Dr, Hudson, IA 50643. |
| |
THANK YOU
FOR YOUR ORDER! |